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Order 22-0467
Order Summary
$75,000 fine and suspend Twenty-Five Thousand Dollars of that amount, w/ conditions. levied due to the Carrier incorrectly denying coverage for physical therapy claims for lack of preauthorization during the period of January 2021 through April 2021, the Company violated RCW 48.43.016(2)(a), WAC 284-43-0140, WAC 284-43-0160(17), justifying the imposition of a fine under RCW 48.05.185.
Entities Named in the Order
Entity Name
Location
UNITEDHEALTHCARE OF OREGON INC
LAKE OSWEGO, OR
Order Documents
Order Type
Issue Date
Effective Date
Consent Order with Fine
08/24/2022
10/07/2022
The order has been stayed pending an administrative hearing. Enforcement of the order is put on hold or “stayed” until the end of the hearing process. To find more information about hearings, visit our
administrative hearings
page.